Organization
MERCER PHARMACY INC
Active
Organization
MERCER PHARMACY INC
Active
Other names
Mercer Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BRETTON WALBERG RPH (OWNER)
(724) 612-2131
Entity
Organization
Contact information
Practice address
315 S ERIE ST STE 1, MERCER, PA 16137-1555
(724) 662-1414
(724) 269-7228
Mailing address
343 MERCER RD, GREENVILLE, PA 16125-9773
(724) 885-0310
(724) 269-7228
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP482176
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1027488280001
—
PA
01
—
2130725
PK
—
Enumeration date
08/24/2011
Last updated
06/30/2023
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